Hemodynamic assessment of the spinal cord arteriovenous malformation with intraoperative microvascular Doppler ultrasound: Case report

C. A. Giller, Y. J. Meyer, H. H. Batjer, A. D. Powers, R. R. Smith

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

Microvascular Doppler recordings were taken from the nidus and draining system of a dural spinal cord arteriovenous malformation during operative treatment. Doppler signals readily showed the direction of blood flow in the draining vein and the hemodynamic effects of surgical maneuvers. Recording during alterations of mean arterial blood pressure and partial carbon dioxide pressure (pCO2) demonstrated lack of autoregulation and impaired CO2 reactivity in the AVM nidus. Microvascular Doppler techniques provide useful intraoperative assessment of the hemodynamics of arteriovenous malformations of the spinal cord.

Original languageEnglish (US)
Pages (from-to)270-275
Number of pages6
JournalNeurosurgery
Volume25
Issue number2
DOIs
StatePublished - 1989
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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